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Polo Shirt Order

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									POLO SHIRT ORDER FORM
 Anyone who wishes to have a Polo Shirt with this Traditional Rainbow Logo without the 
POG, like the 2013 Grand Officers,please contact Terri Nicks directly at terri@sewiton.com. 
        These Polo Shirts are ordered separately from the Polo Shirts listed below.

Name
Telephone  (              )
Assembly
E‐mail
Shipping Address
    No PO Box #

Color Choice:                     JADE                             PINK                    MAROON              SAND
                                  ROYAL BLUE                       YELLOW                  PURPLE
Women's shirts                          (Sales tax included)
           Extra small          $23.75           Medium          $23.75          Extra Large     $23.75        3XL      $26.00
           Small                $23.75           Large           $23.75          2XL             $26.00        4XL      $26.00
     Personalization:

     Area of Personalization                 Sleeve            Right Front
                                             Total women's shirts @ $21.75                                $
                                             Total women's shirts @ $24.00                                $
                                             Total women's shirts with personalization per area $2.25     $

Men's shirts                (Sales tax included)
           Small            $23.75               Extra Large $23.75                  4XL       $26.00                      6XL
           Medium           $23.75               2XL         $26.00                  5XL       $26.00
           Large            $23.75               3XL         $26.00                  6XL       $26.00
     Personalization:
     Area of Personalization                 Sleeve                Right Front
                                             Total Men's shirts @ $23.75                                  $
                                             Total Men's shirts @ $26.00                                  $
                                             Total Men's shirts with personalization per area $2.25       $

                                             Total shirts with pockets @ $2.25              Total Pockets $
                                             (Please list a "P" on the sizes you want pockets on)
                                                                             Total amount of Shirt Order $
                    Shipping to address above
                 1‐6 items = $8.00 ‐‐ 7 or more $12.00                                      Total Shipping $
                                                                                                  TOTAL $
      MAKE CHECK PAYABLE TO GRAND ASSEMBLY
      Mail to 17910 Joshua Drive, Yorba Linda, CA


  SUPPLIES:  Polo Shirt Order Form ‐‐ 2012                                                                           Revised 3/4/12

								
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